The process of stopping the use of tobacco products.
2
What is the significance of the date 1/29/2022?
Show answer
The date is likely the presentation date of the slide.
3
What is the leading preventable cause of death in the U.S.?
Show answer
Smoking
4
How many people die from smoking-related causes in the U.S. each year?
Show answer
Over 490,000
5
What percentage of deaths in California are attributed to tobacco smoking?
Show answer
Approximately 16%
6
What is the professional responsibility of dentists regarding tobacco use?
Show answer
Educate and advise patients regarding tobacco-related health risks and support cessation of all tobacco products.
7
How does tobacco use affect oral health?
Show answer
Tobacco use causes or worsens oral diseases.
8
What is the impact of tobacco use on dental treatment success?
Show answer
Tobacco use decreases dental treatment success.
9
What is the CDT Code D1320?
Show answer
Tobacco counseling for the control and prevention of oral disease
10
What does using CDT Code D1320 allow for?
Show answer
Better evaluation of practices
11
What message does using CDT Code D1320 send to insurers?
Show answer
Tobacco cessation is an integral part of oral healthcare
12
What are the systemic effects of smoking tobacco?
Show answer
Cancer, Pulmonary Disease, Cardiovascular Disease, Infertility, Cataract, Diabetes, Delayed Wound Healing, Osteoporosis, Negative Impact on Nearly Every Body System
13
What are the effects of smoking tobacco on oral health?
Show answer
Oral and Pharyngeal Cancers, Periodontal Disease, Tooth Loss, Poor Wound Healing, Implant Failure, Calculus, Staining, Mucosal Lesions (Dysplasia/Oral Leukoplakia), Halitosis, Reduced Response to Periodontal Therapy, Caries Due to Dry Mouth, Tongue Discoloration
14
What is the key message about tobacco products?
Show answer
No tobacco product is safe.
15
What is the primary cause of damage from tobacco use?
Show answer
Smoke itself.
16
What is the most commonly used form of smoking tobacco?
Show answer
Cigarettes.
17
What are smokeless (oral) tobacco products?
Show answer
Smokeless (oral) tobacco products include chewing tobacco, moist snuff, and other forms of tobacco that are not smoked.
18
What are the impacts of smokeless (oral) tobacco products on oral health?
Show answer
Smokeless (oral) tobacco products can cause oral cancer, tooth loss, caries, staining, and periodontal disease.
19
What is the impact of cannabis use on oral health?
Show answer
Cannabis use can lead to xerostomia, periodontitis, leukoplakia, an increased risk of oral cancer, and caries.
20
How does cannabis smoke compare to tobacco smoke?
Show answer
Cannabis smoke is similar to tobacco smoke, delivering carbon monoxide, tar, and carcinogens.
21
What is the universal policy recommendation regarding cannabis use in dental practices?
Show answer
Make patients aware at first health history intake that anyone under the influence of any psychoactive substance will be dismissed from their appointment for the safety of the patient and the dental team.
22
What are some potential effects of cannabis use on dental patients?
Show answer
Anxiety, agitation, dysphoria, impaired decision-making, and potential drug interactions (THC and epinephrine lead to tachycardia).
23
What is the 5 A's Approach?
Show answer
An evidence-based framework and gold standard used by health professionals for tobacco use intervention.
24
What are the five steps of the 5 A's Approach?
Show answer
Ask, Advise, Assess, Assist, Arrange
25
What does the step 'Assess' in the 5 A's Approach entail?
Show answer
Assess their willingness to quit.
26
What are the '5 A's' in the context of tobacco use?
Show answer
Ask, Advise, Assess, Assist, Arrange
27
What are the three categories of tobacco use status?
Show answer
Current, Former, Never
28
What are the four aspects of tobacco use that should be documented?
Show answer
Type, dose, frequency, and duration
29
What are the '5 A's' in dental advice?
Show answer
Advise, Assess, Advise again, Assist, Arrange
30
What is the importance of empathy in dental advice?
Show answer
Empathy is crucial as patients do not want to be lectured to or judged.
31
What is the term for the stage where a person is not thinking about quitting?
Show answer
Pre-contemplation
32
What is the stage where a person is thinking about quitting but not ready to make a plan?
Show answer
Contemplation
33
What is the stage where a person is ready to quit in the next month?
Show answer
Preparation
34
What is ambivalence in the context of patients not ready to quit smoking?
Show answer
Ambivalence refers to the state where patients are aware of the need to quit but struggle with the desire to continue smoking.
35
What is the goal mentioned in the slide for patients who are not ready to quit smoking?
Show answer
The goal is to start thinking about quitting.
36
What is the purpose of Open-Ended Questions in Motivational Interviewing?
Show answer
To encourage the patient to share their thoughts and feelings about their smoking habits and quitting.
37
What is an example of an Affirmation in Motivational Interviewing?
Show answer
The provider saying, 'Wow, you've really shown your commitment to quitting smoking. That's great! More importantly, you're willing to try again.'
38
What is the goal of a Reflection in Motivational Interviewing?
Show answer
To show the patient that the provider is listening and understanding their concerns.
39
What is the purpose of the RELEVANCE step in the Five R's Approach?
Show answer
To encourage the patient to indicate why quitting is personally relevant.
40
What is the goal of the ROADBLOCKS step in the Five R's Approach?
Show answer
To ask the patient to identify barriers or impediments to quitting.
41
What is the significance of the REPETITION step in the Five R's Approach?
Show answer
The motivational intervention should be repeated every time an unmotivated patient has an interaction with a clinician.
42
What is the goal of the 5 A's approach in smoking cessation?
Show answer
Achieve cessation
43
What does the term 'collaborative treatment planning' refer to in the context of the 5 A's approach?
Show answer
Working together with the patient to develop a quit plan
44
What is the first step in providing behavioral counseling?
Show answer
Help set a quit date within 30 days
45
What should be reviewed during behavioral counseling?
Show answer
Past quit attempts and treatment used
46
What additional support can be provided during behavioral counseling?
Show answer
Refer a patient to comprehensive tobacco cessation counseling or support group
47
What are some coping strategies for anxiety/stress?
Show answer
Breathing exercises, physical exercises, meeting with friends/family
48
What are some potential triggers and coping strategies for avoiding them?
Show answer
Avoid certain situations and places, avoid tobacco users, establish friendships with non-users, tell family and friends about quitting, get rid of cues or triggers, avoid alcohol, develop new ways to manage stress
49
What is the purpose of Nicotine Replacement Therapy (NRT)?
Show answer
To help beat the urge to use by providing therapeutic nicotine all day.
50
What are the different forms of NRT mentioned in the slide?
Show answer
Patch, Gum, Lozenges, Inhaler, Nasal Spray.
51
What is the primary purpose of Varenicline?
Show answer
Relieves withdrawal symptoms and blocks the reward from tobacco use.
52
What are the two follow-up steps mentioned in the slide?
Show answer
1st Follow-up within a week of quit date, 2nd Follow-up within the first month of quit date
53
How can follow-up care be conducted according to the slide?
Show answer
Via phone or in-person
54
What is the purpose of documenting discussions in the chart?
Show answer
To review progress and provide additional tobacco cessation counseling
55
What is the Ask-Advise-Refer (AAR) approach?
Show answer
A shortened approach for clinicians to provide cessation services in less than 3 minutes.
56
What are the three steps of the Ask-Advise-Refer (AAR) approach?
Show answer
Ask about tobacco use, Advise users to quit, Refer tobacco users to cessation services.
57
What is the purpose of a passive referral in the context of the Tobacco Telephone Quitline?
Show answer
To provide patients with a phone number to schedule a call with a trained Quit Coach.
58
What is the preferred method for referring patients to the Tobacco Telephone Quitline?
Show answer
Active referral, which involves directly referring patients through a web portal.
59
What is the purpose of the Kick It California Referral Page?
Show answer
The Kick It California Referral Page is used to collect information from referring professionals to help clients quit smoking.
60
What information is required to be filled in the Referring Professional Information section?
Show answer
The required information includes First Name, Last Name, Email, and Client/Organization.
61
What is the patient's smoking history?
Show answer
The patient smokes ½ a pack of cigarettes a day for the last 10 years.
62
What are the oral and overall health impacts of tobacco and cannabis?
Show answer
Tobacco and cannabis can lead to periodontal disease, carious lesions, and other oral health issues.
63
What is a Substance Use Disorder (SUD)?
Show answer
A SUD is a condition where a person has an uncontrollable desire to use a substance, leading to significant impairment in their daily life.
64
What is the role of a dentist in managing Substance Use Disorders?
Show answer
Dentists can identify signs of substance use disorders through oral health issues and provide referrals for treatment.
65
What is the CDC recommendation for opioid prescribing?
Show answer
Prescribe the lowest effective dose for the shortest period needed.
66
How long is the recommended duration of opioid prescription for acute pain management?
Show answer
3 days or less.
67
What are the recommended maximum daily doses of acetaminophen and ibuprofen for adults?
Show answer
Acetaminophen: 3000 mg, Ibuprofen: 3200 mg.
68
What is the dosage of Advil in the 6PM regimen?
Show answer
600mg
69
What is the dosage of Tylenol in the 12PM regimen?
Show answer
500mg
70
What is the oral analgesic option for mild pain?
Show answer
Ibuprofen 200-400mg as needed for pain every 4-6 hours
71
What is the oral analgesic option for mild to moderate pain?
Show answer
Ibuprofen 400-600mg fixed interval every 6 hours for 24 hours, then ibuprofen 400mg as needed for pain every 4-6 hours
72
What is the oral analgesic option for moderate to severe pain?
Show answer
Ibuprofen 400-600mg + acetaminophen 500mg fixed interval every 6 hours for 24 hours, then ibuprofen 400mg + acetaminophen 500mg as needed for pain every 6 hours
73
What is the oral analgesic option for severe pain?
Show answer
Ibuprofen 400-600mg plus acetaminophen 325mg with hydrocodone 5mg fixed interval every 6 hours for 24-48 hours, then ibuprofen 400-600mg + acetaminophen 500mg as needed for pain every 6 hours
74
What is unsanctioned dose escalation?
Show answer
Taking more medication than prescribed without the doctor's approval.
75
What are prescription losses?
Show answer
The unauthorized or accidental loss of a prescription medication.
76
What does deteriorating social functioning refer to in the context of adverse drug-related behavior?
Show answer
A decline in a person's ability to function socially due to drug use.
77
What is the purpose of motivational interviewing in substance use disorder assessment?
Show answer
To assess readiness to change and provide motivational support.
78
What are the five steps of the OARS technique in motivational interviewing?
Show answer
Open-ended questions, Affirmation, Reflection, Summarization, and Empathy.
79
What is the term for the extraction of a maxillary first molar that had fractured at the gingival margin?
Show answer
Endodontically treated maxillary first molar extraction
80
How long ago did the patient last see the dentist for an emergency basis?
Show answer
One month ago
81
How many years ago did the initial examination occur?
Show answer
Two years ago
82
What is the purpose of the Tobacco Cessation Toolkit for CA Dental Providers?
Show answer
To provide resources and guidance for dental providers in California to help patients quit smoking.
83
What is the focus of the Harm Reduction: A Strategy to Improve Outcomes for Dental Patients with Substance-Use Disorders?
Show answer
The focus is on strategies to improve the outcomes of dental patients with substance-use disorders by addressing their needs in a non-judgmental and supportive manner.